Custom/Special Made Request Form : BearingsDirect.com

Application

Percent of Time

Application

Percent of Time

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Bearings Direct.com
Your Online Bearing Super Store
In Service for 11 Years !
Tell: 818-951-0651

CUSTOM/SPECIAL MADE REQUEST FORM

By applying on this form you are requesting Non-Standard type bearing for your new design or projectto prepare for production, and the requirements for our factory is min. of 1000/pcs. to begin.Please complete all fields. * - Required Fields
* - Required Fields

APPLIES:

Name:*

Title:

Date:

Company:*

Telephone:*

Address:

City:

State:

Zip:

Email:*

Confirm Email:*

INFORMATION

Experimental

Prototype

Production

Repair

If current application, what bearings are now being used?

Manufacturer:		Mfg's, Part No.:
Your Company's Part No.:	(optional)
Current Cost:
Annual Usage Qty:	Requested Quantity:		(optional)

LOADS

Continuous

Intermittent

Oscillating

One Direction

Both Directions

Vibration/Shock?

Describe:

LIFE

TEMPERATURE

Hours: (Min.)
Hours: (Avg.)
Other

Normal Operating:		ºF
Minimum:		ºF
Maximum:		ºF

LUBRICATION

Proposed Lubricant:

Percent Fill:

BEARING

Preferred Size:	Preferred Type:
Bore		Ground
Min. Bore		Ungrounded: Separator
Outside Dia.		Full Compliment
Max. Outside Dia.		Bushing/Plan Bearing
Width
Max. Width
Bearing Axis in (Vertical), (Horizontal) position with (outer), (inner) race rotation relative to load.

SPECIAL REQUIREMENTS

Materials:
Enclosures:		Describe such as Rubber, Teflon Seals or Metal Shields on each sides
ABEC Grade or :		Precision Accuracy "P" Suffix cod number
Internal Fit:		Clearance "C" Suffix cod number
Other:

* - Required Fields

BALL BEARINGS | ROLLER BEARINGS | HOUSING BEARINGS | LINEAR BEARINGS

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